Hernia is displayed or output an abdominal viscus or organ through the abdominal wall, following the course of a normal or orifice, or an abnormal nozzle.
A normal orifice could be e.g. the navel or the inguinal canal through which the vas deferens leaving, while a nozzle generated due to abnormal termination or attenuation of the continuity of the abdominal wall after an injury or from a previous surgery. It may also be congenital or has become weaker walls of age.
The diagnosis of hernia can be done by the patient himself, because one fumble swelling, painful or not, at some point his body, or his doctor because his / patient reports discomfort at this point. The discomforts these, usually pain and swelling the region, presented after from weightlifting, intense cough or constipation.
The causes that create the hernia, are all those responsible to the increase of intra-abdominal pressure, and the weakening of the abdominal wall. These are:
Weightlifting and laborious task
Surgical and other injuries of the abdomen
The hernia raises usually contains intestine, while other times it contains omentum, bladder, intraomental appendage or body.
The patient understands the hernia as a bulge, painful or not somewhere in the body, which in principle easily is reduced, ie returns to normal levels and "disappears" with mild handling, usually by himself or doctor.
(Fig. 1) Swelling femoral fold (inguinal)
If the hernia is not reduced , then we talk about irreducible hernia, which in a short time squeezed, strangling its content and becomes strangulated hernia. This means immediate risk of ischemia and necrosis of the content, which is mostly gut.
Clinically, confinement appears as a localized painful swelling does not subside, while the pain slowly becomes unbearable. Can coexist extension of pain to the rest of the abdomen, bloating, fever and vomiting.
(Fig. 2) Confinement or strangulation of the hernia with associated
Ιncarcerated hernia pose an immediate health risk to the patient with severe consequences for the organism, as obstructive ileus, severe forms of peritonitis, septicemia and to thereby jeopardizing his life.
Tackling confinement must be immediate in order to survive the patient, so you need to perform surgery immediately ie within six to eight hours after the onset of symptoms.
The timing perisfichthei a hernia is unknown. For this reason every hernia after her diagnosis, it must be surgically as soon as possible.
Various types of hernias
Hernias, depending on the location in the body, we get a variety of names. So we inguinal, right and left of the genitals in an inguinal areas, oscheokili the scrotum, the femoral hernia below the upper thigh region, the omphalocele in navel hernia epigastric or linea alba hernia, the line that connects the sternum to navel and postoperative hernia. We also refer to two other hernias in men, ie the hydrocele and varicocele.
The treatment of hernias today (almost entirely), and surgery is always aimed at restoration of their contents into the peritoneal cavity, unless of course it is viable and the plastic recovery of the region with special mesh.
Special Mesh SURGERY RECOVERY hernias
These special matrices are absorbable or imiaporrofisima while inert, meaning well tolerated by the body without expel. Function as "patches" that reinforce the abdominal wall hernia and so not recur.
Indeed the grids, relapses today is 0-1% versus 10-15% with the older methods.
The recovery method of hernias now becomes both the laparoscopic method, as with the classic method. In both methods, routinely considered the placement grid.